Individual
LAUREN SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 PALMILLA RD NW, LOS LUNAS, NM 87031-4864
(505) 856-6880
Mailing address
2600 PALMILLA RD NW, LOS LUNAS, NM 87031-4864
(505) 856-6880
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62983
NM
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/13/2019
Last updated
12/08/2022
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